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Follow-Up Phone Calls After Colorectal Surgery to Assess Patient Satisfaction and Post-Operative Outcomes


N/A
18 Years
80 Years
Not Enrolling
Both
Colorectal Surgery, Colorectal Neoplasms, Colitis, Ulcerative, Diverticulitis, Colonic Polyps

Thank you

Trial Information

Follow-Up Phone Calls After Colorectal Surgery to Assess Patient Satisfaction and Post-Operative Outcomes


Follow-up with patients after surgery is necessary to assess levels of rehabilitation,
answer questions and expresses an attitude of caring, as well as assist in marketing
procedures for the hospital or institution (Fallis, 2001). Surveillance after discharge from
the hospital may be difficult as most patients are no longer monitored by health care
professionals. If home health care is not required, the patient may not have contact with
his/her doctor or nurse until the follow-up appointment which frequently is 4- 6 weeks post
surgery.

There is evidence in the literature that telephone contact is beneficial for patients. The
strongest and most current evidence came from a meta-analysis by Meade (2004) on research
supporting phone calls post-operatively for hospitalized patients. This analysis provided a
significant and valid review of health care professionals providing this service, looking at
various patient populations and different hospital settings. 29 articles were published
from 1981 to 2004 and reviewed to gather a compilation of research findings in this area.
Regardless of the design of the research, the findings suggest that follow-up phone calls to
patients after discharge provide invaluable opportunities to enhance practice in the
following areas: Appraisal and evaluation of patient education, Practice improvement trends,
Quality of care, Medication compliance and adherence to discharge instructions, Evaluation
of overall hospital performance.

There is no evidence specifically addressing telephone contact after discharge in the
colorectal surgery population which will be the basis of this study. Nurses providing
follow-up phone calls to patients in the early post operative phase may assist in preventing
or minimizing the effects of postoperative complications by reinforcing discharge
instructions, answering patients' questions, and assessing their concerns. Potential serious
complications may therefore be addressed early.

The purpose of this study is to assess if follow-up telephone calls after surgery affects
patient satisfaction, surgical outcomes and quality of life in the early post-operative
phase after colorectal surgery. In addition, tracking of readmissions, complications and
emergency room visits via telephone calls can ensure communication between the patients and
the surgical office is optimal.


Inclusion Criteria:



- Subjects who are 18 years of age and older

- Subjects of either sex

- Subjects who will undergo any moderate or major colorectal surgery requiring an
overnight hospital stay at University Hospitals Case Medical Center

- Subjects who agree to participate in the study program and provide written informed
consent

- Diagnoses such as Crohn's disease, ulcerative colitis, rectal or colon cancer, colon
or rectal polyps and diverticulitis

Exclusion Criteria:

- Patients in the middle of three part surgery or had recent surgery (i.e., back for
stoma closure for J-pouch)

- Patients with diagnosis of rectal prolapse, condyloma, and any conditions that
require non-invasive outpatient procedures

- Pregnant women, minors, psychiatric patients and prisoners

Type of Study:

Observational

Study Design:

Observational Model: Case-Only, Time Perspective: Prospective

Outcome Measure:

to assess if follow-up telephone calls after surgery affects patient satisfaction, surgical outcomes and quality of life in the early post-operative phase after colorectal surgery

Outcome Time Frame:

not specific

Safety Issue:

No

Principal Investigator

Conor Delaney, MD, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

University Hospitals of Cleveland/ Institute for Surgical Innovation

Authority:

United States: Institutional Review Board

Study ID:

01-06-03

NCT ID:

NCT00474097

Start Date:

February 2006

Completion Date:

December 2007

Related Keywords:

  • Colorectal Surgery
  • Colorectal Neoplasms
  • Colitis, Ulcerative
  • Diverticulitis
  • Colonic Polyps
  • Colorectal Surgery
  • Colorectal Neoplasms
  • Colitis, Ulcerative
  • Diverticulitis
  • Colonic Polyps
  • Crohn Disease
  • Neoplasms
  • Colitis
  • Colitis, Ulcerative
  • Colonic Polyps
  • Colorectal Neoplasms
  • Diverticulitis
  • Polyps
  • Ulcer

Name

Location

University Hospitals of Cleveland Case Medical CenterCleveland, Ohio  44106